Campbell, Louie

Campbell, Louie is an individual health care provider with primary practice located at 1805 W Garriott Rd , Enid OK 73703-5526. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Campbell, Louie can be contacted via phone (580) 233-9012.

Contact Information

Primary practice address
1805 W Garriott Rd Enid OK 73703-5526
Phone: (580) 233-9012
Fax: (580) 249-4269
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 649 Oklahoma

Profile Details

NPI number 1356347629
LBN Legal business name Campbell, Louie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jan 25th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356347629 NPPES
Oklahoma MEDICAID 200012180A

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